Sample Record

Owner Lab

  • CT HQ - QASI Los Angeles Field Office

DIME Sample ID 2023-03-14-2

Project Information

Project IdentifiersProject ID: 993868
DEA: 050C7324
EFIS: 0512000228
DIST-CO-RTE-PM05-SCR-1-13.4/14.9
Award Date10/14/2022
Closeout DateNot set
Work DescriptionCONSTRUCT PEDESTRIAN OVERCROSSING AND AUXILIARY LANE.
Location DescriptionSANTA CRUZ COUNTY IN AND NEAR CITY OF CAPITOLA FROM 0.2 MILE SOUTH OF 41ST AVENUE OVERCROSSING TO 0.2 MILE NORTH OF SOQUEL DRIVE OVERCROSSING
QA Service Level1 (Verified on 06/17/2022)

Sample Information

Sample Taken Date03/14/2023 Sample Unique Key2
Will the laboratory/organization for which you are a member perform testing on this material sample?No Date that the sample was received by the laboratory/organization performing the testing03/17/2023
Sample typeQuality Control A brief description of the sample#6 3'-2"
The quantity of what the sample constitutes407 From where was the sample collectedManufacturer
First name of sampler or witnessed byAdrian Last name of sampler or witnessed bySanchez
Title of sampler Telephone number of sampler2137133499
Laboratory sample identification Linked DIME Sample ID
The fabricator/manufacturer/facility nameCMC Rebar Transportation Laboratory (TL) Number
Inspector Lot Number from the Transportation Laboratory (TL) FormL159-033-23 Structure unique identifier
Structure name

Material Information

Material TypeSMTL TM5 - Welded Hoops Production or Authorization TestingProduction Testing
Service or UltimateUltimate Rebar Heat Number(s)4122030
Hoop Manufacturer Lot Number(s)1-3 Material Standard CodeASTM A706
Material Grade60 Rebar Size#6
Diameter of Hoop3'-2" Epoxy CoatedNo
Epoxy Coating ColorNA Rebar ManufacturerCMC Rebar
Welding CompanyCMC Rebar San Bernardino Coating StandardsUncoated
Weld TypeFlash Welded

Submitted Tests

DIME Test IDTest MethodTester Name, Testing LabDate TestedSubmitted ByVerified?Release DateTest CommentsActions
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Sample File Attachments

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Test File Attachments